Consideration of Neuropsychological Factors in Interviewing

Abstract

(from the chapter) This chapter discusses the value and versatility of the clinical interview. It outlines evidence in support of the conclusion that changes in behavior are often an early indicator of brain dysfunction. Several psychiatric and neurologic disorders are examined including traumatic brain injury, Parkinson's disease, cerebrovascular disease, and Alzheimer's disease. Since in many cases psychologists may be the first to encounter a variety of neurologic disease, careful preparation for the clinical interview is stressed, and the value of clinical observations is emphasized. The type of information to obtain during a history-taking interview is reviewed, and the parameters of the clinical interview are outlined, including establishing rapport, communicating information about the interview, sensitivity to characteristics of the client, and an understanding of one's own biases. The value of a collateral informant is outlined. Commonly encountered forensic interviews are reviewed, focusing on traumatic brain injury, trial competency, and criminal responsibility. It is noted that congruence (or lack) between different data sources is a critical part of the interview process. (PsycINFO Database Record (c) 2015 APA, all rights reserved)